16 research outputs found
Ocular blood flow and choroidal thickness changes after carotid artery stenting
No full textPurposes: To evaluate changes in ocular blood flow and subfoveal choroidal thickness in patients with symptomatic carotid artery stenosis after carotid artery stenting. Methods: We included 15 men (mean age, 63.6 +/- 9.1 years) with symptomatic carotid artery stenosis and 18 healthy volunteers (all men; mean age, 63.7 +/- 5.3 years). All participants underwent detailed ophthalmologic examinations including choroidal thickness measurement using enhanced depth-imaging optic coherence tomography. The patients also underwent posterior ciliary artery blood flow measurements using color Doppler ultrasonography before and after carotid artery stenting. Results: Patients lacked ocular ischemic symptoms. Their peak systolic and end-diastolic velocities increased to 10.1 +/- 13.1 (p=0.005) and 3.9 +/- 6.3 (p=0.064) cm/s, respectively, after the procedure. Subfoveal choroidal thicknesses were significantly thinner in patients with carotid artery stenosis than those in the healthy controls (p=0.01). But during the first week post-procedure, the subfoveal choroidal thicknesses increased significantly (p=0.04). The peak systolic velocities of the posterior ciliary arteries increased significantly after carotid artery stenting (p=0.005). We found a significant negative correlation between the mean increase in peak systolic velocity values after treatment and the mean preprocedural subfoveal choroidal thickness in the study group (p=0.025, r=-0.61 7). Conclusions: In patients with carotid artery stenosis, the subfoveal choroid is thinner than that in healthy controls. The subfoveal choroidal thickness increases after carotid artery stenting. Carotid artery stenting treatment increases the blood flow to the posterior ciliary artery, and the preprocedural subfoveal choroidal thickness may be a good predictor of the postprocedural peak systolic velocity of the posterior ciliary artery
Single arterial access for Ecpella and jugular venous cannulation provides full mobility on a status 1 heart transplant recipient
No full textConcomitant treatment with veno‐arterial extracorporeal membrane oxygenation (VA‐ECMO) and Impella may improve outcomes in patients with cardiogenic shock compared with VA‐ECMO alone. Here, we explain a new method to introduce Impella and ECMO through the same arterial access site and jugular venous cannulation to accomplish a mobile patient concept
External jugular vein aneurysm in a young woman: An uncommon cause of neck mass
No full textAbstractExternal jugular vein aneurysms are extremely rare pathologies compared to arterial ones. The patients often present with a painless mass in the neck that becomes visible while coughing and straining. Palpation of a soft and compressible swelling over the external jugular vein is a diagnostic hallmark. Doppler ultrasound examination is considered as the golden standard for the radiological diagnosis that allows a precise determination and confirmation of an aneurysm. Surgical excision is performed mostly for cosmetic concerns and symptomatic aneurysms. In this article, we present the clinical aspects, radiological and microscopic findings, diagnosis and surgical treatment of an external jugular vein aneurysm in a young female patient to emphasize the typical clinical presentation of this rare entity
Is Surgical Approachment to a Retained and Fractured Guide Wire Inside Coronary Artery Necessary Followings Coronary Angiography?
No full text‘’The association of normal tension glaucoma with Buerger’s disease: a case report‘’
No full textBackground: To report a case of a 48-year-old man with Buerger's disease who presented with bilateral normal-tension glaucoma (NTG). Case presentation: A 48-year-old man who had been diagnosed with Buerger's disease 12 years ago, and received bilateral below-the-knee amputations for ischemic ulcers of the lower limbs, presented at our clinic due to a sudden loss of visual acuity in the left eye. A fundus exam revealed a cup-to-disc ratio of 0.5 for the right eye and 0.8 for the left eye, arteriolar constriction in both eyes, retinal edema in the inferopapillary area, and splinter hemorrhages and soft exudate in the left eye. We diagnosed the patient as having acute nasal branch retinal artery occlusion in the left eye and bilateral NTG, as a result of the ophthalmologic examination and the other findings. Conclusion: Although the pathomechanism of NTG is still unknown, previous studies have suggested that patients with NTG show a higher prevalence of vasospastic disorders. We present the second report of NTG associated with Buerger's disease to be described in the literature.WoSScopu
Is elevated HbA1c a risk factor for infection after coronary artery bypass grafting surgery?
No full textBackground: The effect of glycosylated hemoglobin (HbA1c) and perioperative glucose levels on short term results following coronary artery bypass grafting surgery were compared
Comparing retinal vascular changes in patients who underwent carotid endarterectomy
No full textBackground: This study aims to investigate ocular ischemia in patients who were candidates for carotid endarterectomy (CEA) and postoperative flow changes in orbital arteries, and demonstrate the impact of these flow changes on the eye and ocular ischemia
